Provider Demographics
NPI:1831244391
Name:HINSCH, JAMES ANDREW (CHIROPRACTOR)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANDREW
Last Name:HINSCH
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1177
Mailing Address - Street 2:PO BOX 1177
Mailing Address - City:MATTITUCK
Mailing Address - State:NY
Mailing Address - Zip Code:11952-0921
Mailing Address - Country:US
Mailing Address - Phone:631-298-5333
Mailing Address - Fax:631-298-1304
Practice Address - Street 1:14825 MAIN ROAD
Practice Address - Street 2:
Practice Address - City:MATTITUCK
Practice Address - State:NY
Practice Address - Zip Code:11952
Practice Address - Country:US
Practice Address - Phone:631-298-5333
Practice Address - Fax:631-298-1304
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX32551Medicare PIN